LAKES REGIONAL ORAL & MAXILLOFACIAL SURGERY, PC

SPENCER, IA
NPI1760637185
Entity TypeOrganization
Authorized ContactSTEVEN R EVELHOCH
Owner
712-264-8390
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2008-11-26
Last Update Date2008-11-26
Business Address
LAKES REGIONAL ORAL & MAXILLOFACIAL SURGERY, PC
116 E 11TH ST SUITE 203
SPENCER, IA 51301-4364
Phone number: 712-264-8390
Mailing Address
LAKES REGIONAL ORAL & MAXILLOFACIAL SURGERY, PC
116 E 11TH ST SUITE 203
SPENCER, IA 51301-4364
Phone number: 712-264-8390
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